| NPI | 1821713868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: BBH-LCSW-LIC-57552) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-55158) |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-12 |